Laproscopic loop ileostomy for temporary fecal diversion

Khoo, Robert E.H.; Montrey, Jill; Cohen, Max M.

doi:10.1007/bf02050635

Cited by 31 publications

(1 citation statement)

References 7 publications

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“…Laparoscopic surgeries are one of the typical minimally invasive surgeries. Since the first report of laparoscopic ileostomy by Khoo et al [ 1 ], laparoscopy has become popular among surgeons for many types of enterostomies. Compared to the conventional enterostomy, laparoscopic enterostomy is associated with lower postoperative pain, shorter hospital stay, and faster recovery of intestinal functions [ 2 3 ].…”

Section: Introductionmentioning

confidence: 99%

Single-incision laparoscopic ileostomy is a safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection

et al. 2018

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PurposeCurrently, many operations are performed using the single-incision laparoscopic method. Although there have been recent reports on single-incision laparoscopic ileostomy, none have compared this method to conventional laparoscopic ileostomy. This study aimed to assess the safety and feasibility of single-incision laparoscopic ileostomy for anastomotic leakage following laparoscopic low anterior resections.MethodsFrom April 2012 to April 2017, 38 patients underwent laparoscopic ileostomy (single-incision; 19 patients referred to as group A, conventional laparoscopy; 19 patients referred to as group B) for anastomotic leakage following laparoscopic low anterior resection. We analyzed surgical and clinical outcomes between the 2 groups. Patients in whom a protective ileostomy was carried out during the initial laparoscopic low anterior resection were excluded from this study.ResultsNo significant differences were observed between the 2 groups in terms of patient demographics and initial operation details. Incisional surgical site infections occurred less in group A than in group B (2 of 19 vs. 9 of 19, P = 0.029). The median ileostomy operation time, amount of intraoperative bleeding, parastomal hernia ratio, hospital stay duration after ileostomy, postoperative pain score were not significantly different between the 2 groups.ConclusionSingle-incision laparoscopic ileostomy is safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection.

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Section: Introductionmentioning

confidence: 99%